Used to prevent migraines. Helps chronic pain. 50 years of well studied
experience.

Vivactil is more likely to energize than other TCA's.

Affects many transmitters so
relatively more side effects.

May be dangerous in overdose.

Labs and EKG usually advised to monitor heart, liver, and level in blood.

May increase appetite. Probably less effective than SRI for anxiety except
panic.

Surmontil
(trimipramine)

capsules
25, 50, 100mg

Start 25 mg
2 to 3 times daily

50-150mg
max 200mg

Vivactil
(protriptyline)

tablets
5, 10mg

Start 5mg
2 or 3 times daily

15-40mg
max: 60mg

Anafranil
Clomipramine

capsule
25mg
50mg
75mg

Evening

25-300 mg

Same as other TCA

May be the most effective medication for
obsessive-compulsive disorder (The only TCA that often helps due to also
having SRI action)

Children often tolerate better than adults.

Same as other TCA although
probably the most side effects, especially for adults.

All these medications should be taken 7 days a week to be effective.
Simultaneous use of alcohol or cigarettes and especially street drugs should
be avoided. All antidepressants may increase mania risk in persons with
Bipolar (manic-depressive) disorder. All medications should be avoided if
possible in pregnancy. This chart is intended to be a summary guide, not a
full and complete list.